Financial Assistance Policy & Application

In keeping with its mission, UPMC Pinnacle Hanover strives to treat all patients equally, with dignity and respect, to serve the emergency healthcare needs of the community, to assist patients who cannot afford to pay, and to widely publicize the availability of its Financial Assistance Policy.

UPMC Pinnacle Hanover’s Financial Assistance program provides discounts to patients (up to 100% of hospital charges) who meet financial eligibility guidelines. All patients eligible for financial assistance will not be charged more for medically necessary care than the amounts generally billed to patients who have insurance.

Where to Find Information

Financial Assistance applications may be obtained/completed/submitted as follows:

  • Obtain a free copy of the Financial Assistance Policy, summary, and application at the UPMC Pinnacle Hanover Patient Registration or Emergency Department areas at 300 Highland Ave, Hanover, PA 17331.
  • Request a free copy at the Patient Accounting office at 310 Stock St, Suite 5, Hanover, PA 17331.
  • Request to have an application mailed to you by calling 717-316-7877.
  • Request an application by mail at UPMC Pinnacle Hanover, Attn: Financial Counselors, 300 Highland Ave, Hanover, PA 17331.
  • Download a free copy of the Financial Assistance Policies and application:
    • Download our Financial Assistance Policy (Descargue nuestro Política de Asistencia Financiera)
    • Download our Plain Language Summary (Descargue nuestro resumen en lenguaje sencillo de la Política de Asistencia Financiera)
    • Download our Billing and Collections Policy (Descargue nuestro Política de Facturación y Cobros)
    • Download a list of providers who are covered and not covered under the Financial Assistance Policy (Descargue una lista proveedores cubiertos y no cubiertos por la Política de Asestencia Financiera de UPMC Pinnacle Hanover)
    • For more information about hospital pricing, click here.
  • Learn more about financial assistance at other hospitals within the UPMC Pinnacle network.

How to Apply

If you are interested in applying for financial assistance, please:

  • Complete our application
    • Download our Financial Assistance Application (Descargue nuestro Solicitud para Asistencia Financiera)
    • Free paper copies of the application are also available in the emergency department lobby, registration areas, and in the Patient Accounting office.
  • Mail completed applications (with all documentation/information specified in the policy) to UPMC Pinnacle Hanover, Attn: Financial Counselors, 300 Highland Ave, Hanover, PA 17331.

UPMC Pinnacle Hanover financial counselors are available to provide assistance with the Financial Assistance application process. Please visit their offices in rooms #501 and #502 in the Emergency Department area at 300 Highland Ave, Hanover, PA 17331, or call 717-316-6973 to make an appointment.

The Financial Assistance Policy and summary, and Financial Assistance application are available in English and Spanish. Please know that we will treat your questions and any information you provide us with confidentiality and courtesy.

For questions, please call the financial counselors at 717-316-6972 or 717-316-6973, Monday through Friday, 8 a.m. to 11 p.m.